Wolff v. Aetna Life Insurance Company

CourtDistrict Court, M.D. Pennsylvania
DecidedMarch 21, 2023
Docket4:19-cv-01596
StatusUnknown

This text of Wolff v. Aetna Life Insurance Company (Wolff v. Aetna Life Insurance Company) is published on Counsel Stack Legal Research, covering District Court, M.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wolff v. Aetna Life Insurance Company, (M.D. Pa. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF PENNSYLVANIA

JOANNE WOLFF, individually and on No. 4:19-CV-01596 behalf of a Class of Similarly Situated Individuals, (Chief Judge Brann)

Plaintiff,

v.

AETNA LIFE INSURANCE COMPANY,

Defendant.

MEMORANDUM OPINION

MARCH 21, 2023 I. BACKGROUND In 2020, Joanne Wolff, on behalf of herself on all similarly situated individuals, filed a second amended complaint1 against Aetna Life Insurance Company (“Aetna”) raising claims for: a violation of the Employee Retirement Income Security Act of 1974,2 breaches of fiduciary duties, conversion, money had and received, intentional misrepresentation, negligent misrepresentation, unjust enrichment, theft by deception, attempted theft, a violation of Pennsylvania’s Unfair

1 Wolff originally filed this action in Pennsylvania state court on August 8, 2019, and the action was later removed to federal court by Aetna. Doc. 1. Trade Practices and Consumer Protection Law, and a violation of the Pennsylvania Fair Credit Extension Uniformity Act.3

Wolff avers that she was previously insured for long-term disability benefits under the terms of a group insurance plan (the “Plan”) issued by Aetna through Bank of America Corporation—Wolff’s employer.4 In September 2015, Wolff was

temporarily disabled as a result of a motor vehicle accident that caused Wolff injuries.5 Wolff submitted a claim to Aetna under the Plan and received long-term disability benefits exceeding $50,000.6 Wolff separately filed a civil action against the other party involved in the

accident.7 Wolff and the defendant eventually settled that matter, with Wolff receiving monetary compensation from the defendant.8 Aetna and another entity with which it worked, the Rawlings Company (“Rawlings”), sought reimbursement

of the benefits that Aetna had paid to Wolff under the terms of the Plan, although the Plan allegedly did not permit such reimbursement.9 After negotiations between Wolff and Rawlings, Wolff agreed to reimburse Aetna and Rawlings in the amount of $30,000.10

3 Doc. 44. 4 Id. ¶ 6. 5 Id. ¶ 8. 6 Id. ¶¶ 9-10. 7 Id. ¶ 11. 8 Id. ¶ 12. 9 Id. ¶¶ 13-16. Despite agreeing to pay that sum to Aetna, Wolff asserts that the Plan did not permit Aetna to pursue reimbursement for her personal injury recovery. As relevant

here, Wolff alleges that the Plan permitted Aetna to obtain reimbursement only for “Other Income Benefits,” and personal injury recoveries are not included in the Plan’s definition of “Other Income Benefits.”11

Wolff later filed a motion to certify a class pursuant to Federal Rule of Civil Procedure 23,12 which this Court granted on May 25, 2022 after finding that the Rule 23 requirements were met (the “Certification Order”).13 The Court determined that Wolff had satisfied numerosity, commonality, typicality, and adequacy of

representation. As to numerosity, this Court concluded that there are at least 48 individuals who qualify for the class, which is sufficient to satisfy the numerosity requirement.14

In reaching this conclusion, the Court rejected Aetna’s assertion that variations in plan language meant that certain individuals would not qualify for the class. Specifically, the Court found that the “Other Income Benefits” language from the various plans were substantially similar, and variations in the specific language

used were not determinative of any claims and therefore did not prevent certification.15 Although one plan contained broad language that could theoretically

11 Doc. 44 ¶¶ 35-40. 12 Doc. 107. 13 Doc. 126, 127. 14 Doc. 126 at 5-11. encompass personal injury settlements, the Court fund that it was “highly unlikely” that the language actually encompassed such settlements.16

The Court further determined that commonality and typicality were met, as the dispositive legal question was the same for all class members, the same general factual circumstances would underlie each claim, and no affirmative defense would prevent certification.17 The Court also found that Wolff could adequately represent

the class.18 Finally, this Court held that the Rule 23(b)(3) requirements were met, as a single issue is more prevalent than any non-common issues, and class certification is superior to other methods of adjudication.19

On August 17, 2022, Aetna filed a motion for reconsideration, asserting that intervening case law from the United States Court of Appeals for the Third Circuit— that case being Allen v. Ollie’s Bargain Outlet20—required that this Court decertify the class.21 On November 22, 2022, this Court denied the motion for reconsideration

for two primary reasons (the “Reconsideration Order”).22 First, the Court found that Allen did not constitute a change in the controlling law sufficient to support a motion for reconsideration.23 Second, this Court concluded that, even if the motion were

16 Id. at 9 n. 41; see id. at 8-9. 17 Id. at 11-16. 18 Id. at 16-17. 19 Id. at 17-26. 20 37 F.4th 890 (3d Cir. 2022). 21 Doc. 133. 22 Doc. 141. appropriately considered, any variations in plan language did not prevent class certification.24 Specifically, the Court clarified that all of the plans submitted by the

parties contained substantially similar language, and any minor differences in plan language did not defeat commonality.25 Nevertheless, the Court granted in part the motion for reconsideration because Wolff agreed to slightly modify the class definition to eliminate any concerns with a potential failsafe class.26

On December 6, 2022, Aetna filed with the Third Circuit a Federal Rule of Civil Procedure 23(f) petition for permission to appeal this Court’s decision.27 On the same day, Aetna filed a motion to stay this Court’s Order granting class

certification pending the Third Circuit’s ruling on the Rule 23(f) petition.28 Aetna contends that a stay is warranted because the failure to issue a stay may result in confusion among the current class members should the Third Circuit

decertify the class, a stay would conserve judicial and party resources, and the failure to issue a stay would irreparably harm Aetna, since the class notice states that Aetna is alleged to have engaged in improper conduct.29 Moreover, Aetna asserts that Wolff and the class would not be substantially injured by a stay, since a stay would

conserve resources that would be expended in notifying the class—expenses that

24 Id. at 10-15. 25 Id. 26 Id. at 15-17. 27 See Doc. 144 at 2. 28 Doc. 144. would not be necessary if Aetna prevailed in an appeal.30 Finally, Aetna asserts that there is a sufficient likelihood of success on the merits of its appeal to warrant a stay

before this Court.31 Wolff in turn argues that a stay is inappropriate.32 First, Wolff asserts that Aetna is highly unlikely to succeed on appeal, as the appeal is procedurally defective.33 Second, Wolff contends that any further delay will substantially injure

her and the class, as there have already been numerous delays in this case.34 Finally, Wolff argues that Aetna would not face irreparable injury due to the denial of its motion, and the class notice would not cause confusion to the class members.35

Aetna has filed a reply brief, and the motion is now ripe for disposition.36 For the following reasons, Aetna’s motion to stay will be denied. II. DISCUSSION

Federal Rule of Civil Procedure

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Wolff v. Aetna Life Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wolff-v-aetna-life-insurance-company-pamd-2023.